Form B - Away Event Registration/Trip Plan (2013/14)

Due at least seven (7) BUSINESS days before your trip!!! Please submit this form as soon as you have scheduled and confirmed your event.

Remember NOT to use the ENTER KEY while completing this form.

Departure Date & Time

Returning Date & Time

Participant Information

4500 characters maximum

Additional Activity Information

Equipment Requests: Be sure to send your requests directly to the Equipment Center at equipctr@wm.edu . This includes requests for tables & chairs.

4500 characters maximum

Housing Accommodations

Safety Officer/Wilderness Trip Leader Information

Every club travelling must have two Safety Officers, each certified in at least First Aid and CPR. Any club going on a trip in a wilderness context (defined as more than 2 hours from advanced medical care) requires 2 Trip Leaders who are Safety Officers with additional requirements.

starHas this individual filled out a Form S, provided copies of certifications showing current certification in First Aid and CPR, and passed the Blackboard Quiz?

starHas this individual filled out a Form S, provided copies of certifications showing current certification in First Aid and CPR, and passed the Blackboard Quiz?

4500 characters maximum

Vehicle Information

All individuals driving sport club members to a registered event must be authorized drivers. The College also asks for a list of passengers in each vehicle, to ensure that we have necessary information in the event of an emergency.

Club members CANNOT drive without submitting the {{http://www.wm.edu/offices/recsports/sportclubs/forms/appd/,Driver Authorization Form (Appendix D)}}
(View the list of {{http://media.wm.edu/content/wm/recsports/sportclubs/onlineforms/driverauthorizations.xls,authorized drivers}}).

Has each driver for Vehicle 1 submitted an online Driver Authorization Form?:
A driver need submit the Driver Authorization Form (Appendix D) only once each academic year, UNLESS circumstances change regarding his/her driver's record.

4500 characters maximum
4500 characters maximum
4500 characters maximum
4500 characters maximum
4500 characters maximum
4500 characters maximum
4500 characters maximum

List all club members who will be passengers in this driver's vehicle:

Flight Information

Continue to next section if not flying.

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